Individual provider Active NPI

Maria Canizales, LPC

  • Professional Counselor
  • El Paso, TX
National Provider Identifier
1073901146
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
69656 Issued in TX
Practice address
1600 Montana Ave
El Paso, TX 79902-5622
Phone
(915) 887-3410
Fax
(915) 351-4708
NPI assigned
Dec 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 69656 TX Primary

Addresses

Primary practice location

1600 Montana Ave
El Paso, TX 79902-5622

Mailing address

3924 Tierra Aurora Dr
El Paso, TX 79938-4336
Phone (915) 383-6557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231128000163 TX Practitioner - Mental Health Counselor 6204284508 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
69656TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Community MHMR CurrentSince Jan 1, 2024 Accepting new patients
El Paso Community MHMR CurrentSince Jan 1, 2024 Accepting new patients
El Paso Community MHMR Past Accepting new patients

Locations

8730 Boeing Dr
El Paso, TX 79925
Phone (915) 599-6600

1600 Montana Ave
El Paso, TX 79902
Phone (915) 877-3410

1551 Montana Ave
El Paso, TX 79902
Phone (915) 747-3510

201 E Main Dr
Ste 600
El Paso, TX 79901
Phone (915) 887-3419

1601 E Yandell Dr
El Paso, TX 79902
Phone (915) 599-4900

10737 Gateway Blvd W
Ste 350
El Paso, TX 79935

8500 Boeing Dr
El Paso, TX 79925
Phone (915) 242-0555

10737 Gateway Blvd W
Ste 250
El Paso, TX 79935
Phone (915) 319-9488

2400 Trawood Dr
Ste 301
El Paso, TX 79936
Phone (915) 599-6735

725 S Mesa Hills Dr
Bldg 1
El Paso, TX 79912
Phone (915) 228-8128

1477 Lomaland Dr
Ste E7
El Paso, TX 79935
Phone (915) 599-6690

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1073901146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 TIERRA AURORA DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384336",
            "telephone_number": "915-383-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025622",
            "telephone_number": "915-887-3410",
            "fax_number": "915-351-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANIZALES",
        "first_name": "MARIA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-24",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.